| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 606740001 | METROPOLITAN LIFE INSURANCE COMPANY | $80K | $82K | $161K | 2.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WESTERN ASSET MANAGEMENT EIN 95-2705767 NONE | Direct payment from the plan; Investment management Service code 28 | — | $500K |
| GRANTHAM, MAYO, VAN OTTERLOO EIN 04-2691242 NONE | Direct payment from the plan; Investment management Service code 28 | — | $422K |
| DODGE & COX EIN 94-1441976 NONE | Direct payment from the plan; Investment management Service code 28 | — | $291K |
| ARROWSTREET CAPITAL, LIMITED EIN 04-3472863 NONE | Investment management; Direct payment from the plan Service code 28 | — | $216K |
| MONDRIAN INVESTMENT GROUP (U.S.) EIN 56-2475915 NONE | Direct payment from the plan; Investment management Service code 28 | — | $111K |
| AON CONSULTING INC. EIN 22-2232264 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $57K |
| SSGA S&P 500 INDEX NON LENDING EIN 04-6625099 NONE | Investment management; Direct payment from the plan Service code 28 | — | $51K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (other than securities); Trustee (bank, trust company, or similar financial institution); Custodial (securities); Direct payment from the plan Service code 18 | — | $43K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| SSGA MSCI ACWI EX USA NON LENDING EIN 80-6103053 NONE | Investment management; Direct payment from the plan Service code 28 | — | $17K |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,071 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,071 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 4,048 | $6.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,048 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.